Michigan Medicaid reimbursement rates
57,306 current fee-for-service and managed-care rates from Michigan Medicaid, across 89 services and 9 programs, normalized by code, provider level and unit. Each links to one of 331 official source documents.
Last retrieved 2026-10-02. History back to 2009-12-01.
- Current rates
- 57,306
- Services
- 89
- Programs
- 9
- Lines with a plan rule
- 13of 21 service lines
By industry
Applied behavior analysis (ABA)Michigan rates, labor costs and changesBehavioral healthMichigan rates, labor costs and changesHome healthMichigan rates, labor costs and changesHome care & personal careMichigan rates, labor costs and changesPrivate duty nursingMichigan rates, labor costs and changesSkilled nursing facilitiesMichigan rates, labor costs and changesHospiceMichigan rates, labor costs and changesIntellectual & developmental disabilitiesMichigan rates, labor costs and changesOutpatient therapy (PT, OT, speech)Michigan rates, labor costs and changes
Michigan rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Michigan
Where Michigan ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Michigan | All-state median | Rank |
|---|---|---|---|---|
| 10004 | Physician and practitioner services (fee schedule) | $33.87 | $35.52 | 12 of 19 |
| 10005 | Physician and practitioner services (fee schedule) | $84.35 | $60.63 | 4 of 19 |
| 10006 | Physician and practitioner services (fee schedule) | $38.34 | $39.90 | 11 of 19 |
| 10007 | Physician and practitioner services (fee schedule) | $219.60 | $76.74 | 3 of 19 |
| 10008 | Physician and practitioner services (fee schedule) | $90.10 | $46.94 | 3 of 19 |
| 10009 | Physician and practitioner services (fee schedule) | $263.06 | $93.03 | 3 of 19 |
| 10010 | Physician and practitioner services (fee schedule) | $149.95 | $65.32 | 3 of 19 |
| 10021 | Physician and practitioner services (fee schedule) | $64.33 | $49.77 | 5 of 19 |
| 10030 | Physician and practitioner services (fee schedule) | $395.97 | $119.43 | 2 of 19 |
| 10035 | Physician and practitioner services (fee schedule) | $220.24 | $70.26 | 3 of 19 |
| 10036 | Physician and practitioner services (fee schedule) | $185.31 | $35.41 | 3 of 19 |
| 10060 | Physician and practitioner services (fee schedule) | $82.01 | $76.16 | 8 of 19 |
| 10061 | Physician and practitioner services (fee schedule) | $140.37 | $129.16 | 8 of 19 |
| 10080 | Physician and practitioner services (fee schedule) | $171.89 | $78.73 | 4 of 19 |
| 10081 | Physician and practitioner services (fee schedule) | $242.39 | $127.86 | 4 of 19 |
| 10120 | Physician and practitioner services (fee schedule) | $100.32 | $77.44 | 3 of 19 |
| 10121 | Physician and practitioner services (fee schedule) | $175.51 | $135.29 | 3 of 19 |
| 10140 | Physician and practitioner services (fee schedule) | $111.19 | $86.45 | 3 of 19 |
| 10160 | Physician and practitioner services (fee schedule) | $83.92 | $69.52 | 4 of 19 |
| 10180 | Physician and practitioner services (fee schedule) | $183.82 | $148.10 | 4 of 19 |
| 11000 | Physician and practitioner services (fee schedule) | $37.70 | $24.52 | 2 of 19 |
| 11001 | Physician and practitioner services (fee schedule) | $17.25 | $12.36 | 3 of 19 |
| 11004 | Physician and practitioner services (fee schedule) | $321.84 | $437.21 | 16 of 19 |
| 11005 | Physician and practitioner services (fee schedule) | $441.76 | $573.02 | 15 of 19 |
| 11006 | Physician and practitioner services (fee schedule) | $397.88 | $542.16 | 16 of 19 |
| 11008 | Physician and practitioner services (fee schedule) | $155.92 | $206.56 | 15 of 19 |
| 11010 | Physician and practitioner services (fee schedule) | $299.27 | $225.24 | 3 of 19 |
| 11011 | Physician and practitioner services (fee schedule) | $342.93 | $229.46 | 2 of 19 |
| 11012 | Physician and practitioner services (fee schedule) | $437.93 | $326.26 | 2 of 19 |
| 11042 | Physician and practitioner services (fee schedule) | $84.56 | $50.80 | 5 of 19 |
| 11043 | Physician and practitioner services (fee schedule) | $152.72 | $134.21 | 6 of 19 |
| 11044 | Physician and practitioner services (fee schedule) | $204.48 | $182.12 | 6 of 19 |
| 11055 | Physician and practitioner services (fee schedule) | $44.73 | $14.80 | 2 of 19 |
| 11056 | Physician and practitioner services (fee schedule) | $51.76 | $20.38 | 2 of 19 |
| 11057 | Physician and practitioner services (fee schedule) | $56.66 | $26.13 | 2 of 19 |
| 11102 | Physician and practitioner services (fee schedule) | $60.92 | $32.23 | 5 of 19 |
| 11103 | Physician and practitioner services (fee schedule) | $31.10 | $18.65 | 5 of 19 |
| 11104 | Physician and practitioner services (fee schedule) | $77.32 | $40.43 | 4 of 19 |
| 11105 | Physician and practitioner services (fee schedule) | $38.55 | $22.05 | 5 of 19 |
| 11106 | Physician and practitioner services (fee schedule) | $96.49 | $49.21 | 4 of 19 |
Managed care in Michigan
11 plans on record, 8 state-directed payment records, 32 published capitation cells.
Who sets the rate, line by line →Recent rate changes and notices
| Notice | Status | Effective |
|---|---|---|
| Public notice: Section 1115 Reentry Services Demonstration New Request | proposed | 2027-01-01 |
| Proposed policy 2632-Clinic: | proposed | 2026-11-02 |
| Proposed policy 2601-Ambulance: | proposed | 2026-10-26 |
| Proposed policy 2637-MIHP: | proposed | 2026-10-26 |
| Proposed policy 2641-PXRS: | proposed | 2026-10-20 |
| L 26-60: Reimbursement Rate Update for Private Duty Nursing | proposed | 2026-10-02 |
| Proposed policy 2625-CAA: | proposed | 2026-10-02 |
| MMP 26-35: Coverage and Reimbursement of Hospital-Based Peer Recovery Coach (PRC) Services | effective | 2026-10-01 |
| MMP 26-37: Healthy Kids Dental (HKD) Program Changes | effective | 2026-10-01 |
| L 26-24: Notice of Intent to Submit a State Plan Amendment and Alternative Benefit Plan State Plan Amendment to Clarify Partial Hospitalization Services | proposed | 2026-10-01 |
| L 26-50: Graduate Medical Education (GME) Innovations Agreement Update | proposed | 2026-10-01 |
| L 26-51: Portable X-Ray Supplier Rate Update | proposed | 2026-10-01 |
Frequently asked questions
Where does Michigan publish its Medicaid fee schedules?
Michigan publishes rates across 331 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Michigan publish?
57,306 rates are current across 89 services and 9 programs, with 198,078 versions on record since 2009-12-01.
Do Michigan Medicaid managed-care plans pay the fee schedule?
For 13 of 21 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
Other states
Your Michigan rate cardYour codes, what Michigan pays, what plans must pay, and every change in 2026.